What's the difference between AvPD and chronic social anxiety? - Forums at Psych Central



advertisement
Reply
 
Thread Tools Display Modes
Old 02-04-2014, 10:30 PM #1
blackwhitered's Avatar
blackwhitered blackwhitered is offline
Veteran Member
 
Member Since: Apr 2013
Location: Asteroid B-612
Posts: 606
blackwhitered blackwhitered is offline
Veteran Member
blackwhitered's Avatar
blackwhitered has no updates.
 
Member Since: Apr 2013
Location: Asteroid B-612
Posts: 606

5 yr Member
300 hugs
given
Default What's the difference between AvPD and chronic social anxiety?

I ask this as an outsider who has a friend with the latter.

I mean, the symptoms seem almost identical...
__________________
All that we see or seem
Is but a dream within a dream.
blackwhitered is offline   Reply With QuoteReply With Quote

advertisement
Old 02-05-2014, 07:18 AM #2
A Red Panda's Avatar
A Red Panda A Red Panda is offline
Grand Magnate
 
Member Since: May 2013
Location: Gallifrey
Posts: 4,166
A Red Panda A Red Panda is offline
Grand Magnate
A Red Panda's Avatar
A Red Panda has no updates.
 
Member Since: May 2013
Location: Gallifrey
Posts: 4,166

5 yr Member
902 hugs
given
PC PoohBah!
Default Re: What's the difference between AvPD and chronic social anxiety?

I've taken a quote from here: Avoidant Personality Disorder (AvPD, APD)

"Along with the well-recognized overlap between avoidant personality disorder and generalized social phobia, evidence shows the distinctiveness of avoidant personality disorder. According to Millon (1996), avoidant personality disorder is essentially a problem of relating to persons, in contrast to social phobia, which is largely a problem of performing situations. Others have suggested that the one defining trait in avoidant personality disorder might be interpersonal sensitivity, whereas in social anxiety disorder, it is avoidance of social situations (Perugi et al. 1999)."

I really view it like that. Social anxiety is more situational, but AvPD is more intrusive(wrong word!). Like... with social anxiety, there are probably more situations that will cause the anxiety - like public speaking or asking someone for help in a store... anything specific (and there might be a lot of those situations for one person!). But AvPD is like... even when you're alone and no one's watching, you still feel like you're worthless and someone is going to find out and criticize you for it. It doesn't matter where you are, you don't have a safe-spot or situation.

That's sorta my take on it.
__________________
"The time has come, the Walrus said, to talk of many things. Of shoes, of ships, of sealing wax, of cabbages, of kings! Of why the sea is boiling hot, of whether pigs have wings..."

"I have a problem with low self-esteem. Which is really ridiculous when you consider how amazing I am.


A Red Panda is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
Old 02-05-2014, 03:51 PM #3
blackwhitered's Avatar
blackwhitered blackwhitered is offline
Veteran Member
 
Member Since: Apr 2013
Location: Asteroid B-612
Posts: 606
blackwhitered blackwhitered is offline
Veteran Member
blackwhitered's Avatar
blackwhitered has no updates.
 
Member Since: Apr 2013
Location: Asteroid B-612
Posts: 606

5 yr Member
300 hugs
given
Default Re: What's the difference between AvPD and chronic social anxiety?

Quote:
Originally Posted by A Red Panda View Post
I've taken a quote from here: Avoidant Personality Disorder (AvPD, APD)

"Along with the well-recognized overlap between avoidant personality disorder and generalized social phobia, evidence shows the distinctiveness of avoidant personality disorder. According to Millon (1996), avoidant personality disorder is essentially a problem of relating to persons, in contrast to social phobia, which is largely a problem of performing situations. Others have suggested that the one defining trait in avoidant personality disorder might be interpersonal sensitivity, whereas in social anxiety disorder, it is avoidance of social situations (Perugi et al. 1999)."

I really view it like that. Social anxiety is more situational, but AvPD is more intrusive(wrong word!). Like... with social anxiety, there are probably more situations that will cause the anxiety - like public speaking or asking someone for help in a store... anything specific (and there might be a lot of those situations for one person!). But AvPD is like... even when you're alone and no one's watching, you still feel like you're worthless and someone is going to find out and criticize you for it. It doesn't matter where you are, you don't have a safe-spot or situation.

That's sorta my take on it.
I think that's true for the DSM-IV diagnosis of social phobia, but the DSM-5 diagnosis is now called "social anxiety disorder" and has slightly different criteria:
Quote:
In the past, social phobia primarily was diagnosed if an individual felt extreme discomfort or fear when performing in front of others. Research has shown that this definition is too narrow. With DSM-5, social anxiety can be diagnosed because of an individual’s response in a variety of social situations.
But yeah, I see where you're coming from.
__________________
All that we see or seem
Is but a dream within a dream.
blackwhitered is offline   Reply With QuoteReply With Quote
Old 02-05-2014, 09:51 PM #4
Anonymous24680
Guest
 
Posts: n/a
Anonymous24680
Guest
Anonymous24680 has no updates. Edit
 
Posts: n/a

Default Re: What's the difference between AvPD and chronic social anxiety?

If you're so well versed in the definitions of each disorder in the various iterations of the DSM maybe you didn't need to post this.

I think Red Panda's interpretation was legit. People with "social phobia" (also commonly/interchangeably referred to as "social anxiety disorder") may experience anxiety in more particular situations while AvPD may be considered more all encompassing so as to cause avoidance behaviors in nearly all social situations. Intrusive was a decent way to describe it but I think maybe the word/phrase Red Panda was really looking for was "all-encompassing".

Someone with AvPD might be apprehensive about walking to the corner store for a gallon of milk rather than only in a public speaking situation or going to a dinner party or whatever. I certainly interpret SAD/SP as less situation-specific as Red Panda has described.

You might consider that to just be a more severe version of SAD and that is certainly debatable. The line between the two and whether AvPD is different or only represents the more severe version of SAD is a matter of debate among mental health professionals. If you google "avoidant personality vs social phobia" you will surely turn up a lot of information about this ongoing debate and the difference that various professionals/studies/etc. do or do not perceive between the two.
  Reply With QuoteReply With Quote
Old 02-06-2014, 07:20 AM #5
A Red Panda's Avatar
A Red Panda A Red Panda is offline
Grand Magnate
 
Member Since: May 2013
Location: Gallifrey
Posts: 4,166
A Red Panda A Red Panda is offline
Grand Magnate
A Red Panda's Avatar
A Red Panda has no updates.
 
Member Since: May 2013
Location: Gallifrey
Posts: 4,166

5 yr Member
902 hugs
given
PC PoohBah!
Default Re: What's the difference between AvPD and chronic social anxiety?

nowhere: all-encompassing was PRECISELY the word I was trying to think of!! It was right there at the tip of my mind but I couldn't get to it!

As I said in my first post... I view social anxiety as situation-specific. I did not say performance-specific, although that is what the quote said. Quite frankly, it's a lot easier to find information from DSM IV. With social anxiety, there are situations (sometimes many, sometimes few) that cause someone anxiety. With AvPD, it is more invasive - there isn't really a let up.

With AvPD there's more issues in the core of the person - their entire self-concept is basically faulty. Inherently AvPD believes that everything about themselves is wrong and worthless and that no one would ever care for them. Social anxiety is more a fear/anxiouness over what other people will think of whatever it is the person is doing.

I think it's more of a slight difference in thinking.

SA: "What if I trip while on the dance floor? Or step on someone's foot? Or bump into someone's drink? People will think I'm such a klutz! I'm never going to be able to that club again if I do!"

AvPD: "What if people see me dancing? I'm going to be the only person there who can't dance, and no one will ever like me. Anyone I'm there with will hate me because they'll see what a horrible person I am, because I don't know how to do something simple like dance. No one would ever want to even get a drink with me again!"

That's basically how I view the difference. SA is more of a fear of being viewed negatively in a certain way. AvPD associates pretty much everything with the same reaction - that they'll be exposed as a human being who is always inferior.

Not sure if that makes sense. It's clearly easy to swap the two around hence the debate with the diagnosis.

But you are asking for our opinions, and not for the interpretation of a professional. If you already know so much then I'm not really sure why you're asking. It's hard to put out my own thoughts and interpretations, and I'm rather freaked out about responding a second time as you decided to take the quote I gave you and twist my own words around....

ETA: I will also go through and tell you my thoughts and feelings about myself while writing these two posts, which is pretty close to how I feel about every post I ever make:

- I'm an idiot for even trying to help
- everyone else will have much better responses
- I will never think of the right words to express what I'm trying to say
- the other person must think I'm rude and *****y for saying something
- I don't know what I'm talking about
- I shouldn't waste someone's time with writing to them because nothing I say is going to be good
- I'm annoying
- I write too much/too little - I should be able to explain my thoughts concisely
- someone will be mad at me for saying something that disagrees with them
- I should delete my post
- I should delete my account so that they'll never have to see me again
etc etc
__________________
"The time has come, the Walrus said, to talk of many things. Of shoes, of ships, of sealing wax, of cabbages, of kings! Of why the sea is boiling hot, of whether pigs have wings..."

"I have a problem with low self-esteem. Which is really ridiculous when you consider how amazing I am.



Last edited by A Red Panda; 02-06-2014 at 07:35 AM.
A Red Panda is offline   Reply With QuoteReply With Quote
Hugs from:
Old 02-06-2014, 02:36 PM #6
Anonymous24680
Guest
 
Posts: n/a
Anonymous24680
Guest
Anonymous24680 has no updates. Edit
 
Posts: n/a

Default Re: What's the difference between AvPD and chronic social anxiety?

And I did mean:

"I certainly interpret AvPD as less situation-specific as Red Panda has described."
or
"I certainly interpret SAD/SP as more situation-specific as Red Panda has described."
  Reply With QuoteReply With Quote
"Thanks for this!" says:
Old 02-06-2014, 06:17 PM #7
A Red Panda's Avatar
A Red Panda A Red Panda is offline
Grand Magnate
 
Member Since: May 2013
Location: Gallifrey
Posts: 4,166
A Red Panda A Red Panda is offline
Grand Magnate
A Red Panda's Avatar
A Red Panda has no updates.
 
Member Since: May 2013
Location: Gallifrey
Posts: 4,166

5 yr Member
902 hugs
given
PC PoohBah!
Default Re: What's the difference between AvPD and chronic social anxiety?

I'd understood that
__________________
"The time has come, the Walrus said, to talk of many things. Of shoes, of ships, of sealing wax, of cabbages, of kings! Of why the sea is boiling hot, of whether pigs have wings..."

"I have a problem with low self-esteem. Which is really ridiculous when you consider how amazing I am.


A Red Panda is offline   Reply With QuoteReply With Quote
Reply

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off



All times are GMT -5. The time now is 06:13 PM.

Powered by vBulletin® — Copyright © 2000 - 2019, Jelsoft Enterprises Ltd.



 

advertisement

Psych Central Forums

Psych Central is the leading mental health website, overseen by mental health professionals since 1995.

 

Helplines and Lifelines

The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. .

Always consult your doctor or mental health professional before trying anything you read here.
Please read the full disclaimer.